Roselind Soojin Nam, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE60139654 Issued in WA

Practice address

23535 NE Novelty Hill Rd D308
Redmond, WA 98053

Phone

(425) 868-7770

Fax

(425) 868-7718

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roselind Nam PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redmond, WA
  • NPI 1902356058
  NPD (past) Authorized official
• Thian Srisurapol DDS PLLC

  • Dental Clinic/Center
  • Redmond, WA
  • NPI 1528673902
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1982863437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD D308",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98053",
            "telephone_number": "425-868-7770",
            "fax_number": "425-868-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD D308",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98053",
            "telephone_number": "425-868-7770",
            "fax_number": "425-868-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "ROSELIND",
        "middle_name": "SOOJIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "61090",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NE",
            "license": "8012",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60139654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Nagy, MA
• Vrushali P Naik, RPH
• Aya Nakamura, LMT
• Megan Nakamura
• Roger Wayne Nakanishi, DDS
• Stephanie Nam
• Ryan Narciso, PA-C
• Bishoy Hany Nasry, DMD
• Elizabeth Navarro
• Navid Farzadfar DDS PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Redmond, WA
• Providers in Redmond, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.